Is plasma sterilization the modality of choice of sterilization today for endourological procedures such as ureterorenoscopy and retrograde intrarenal surgery? A single-center retrospective evaluation of 198 patients

Autor:	Aditya Parikh, Kandarp Priyakant Parikh, Ravi Jineshkumar Jain
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	medicine.medical_specialty 030232 urology & nephrology Single Center lcsh:RC870-923 Sepsis 03 medical and health sciences 0302 clinical medicine Clinical endpoint medicine Plasma sterilization urology plasma ureterorenoscopy business.industry Retrospective cohort study sterilization sterrad medicine.disease lcsh:Diseases of the genitourinary system. Urology Surgery Systemic inflammatory response syndrome Sterilization (medicine) 030220 oncology & carcinogenesis retrograde intrarenal surgery Original Article Aseptic processing business
Zdroj:	Urology Annals, Vol 12, Iss 2, Pp 122-127 (2020) Urology Annals
ISSN:	0974-7834 0974-7796
Popis:	Introduction: The prevalence of infective complications among patients undergoing Retrograde Intrarenal Surgery (RIRS) for renal stone is 1.7%-18%, including fever, Systemic Inflammatory Response Syndrome (SIRS) and sepsis. The infectious complications of RIRS can be minimised by strict aseptic precautions and plasma sterilization. The Sterrad Next Generation (Sterrad NX) System, a low-temperature sterilizer represents the next generation of low-temperature hydrogen peroxide gas plasma sterilizers. This study was conducted to evaluate the efficacy of plasma sterilization among patients undergoing ureterorenoscopy (URS) and RIRS. The primary endpoint of this study was incidence of septicemia or related complications. Till date, there is no study on the incidence of infection rate in RIRS in relation to a specific mode of sterilization. Material and Methods: This is a retrospective study comprising of 198 patients undergoing URS and/or RIRS. The parameters studied were incidence of post-operative fever, Systemic Inflammatory Response Syndrome (SIRS), pyelonephritis or septicemic shock. Results: Out of 198 patients, incidence of post-operative fever was 3.5%, SIRS was 1.7%, pyelonephritis was 0.7% and septicemic shock was 0%. This is statistically significantly low septicemia rate among patients undergoing URS and /or RIRS as compared to the available literature. No health hazards of plasma sterilization were noted. No damage to the endoscopes or instruments was noted. Conclusion: Sterrad NX based on hydrogen peroxide gas plasma (HPGP) technology is highly efficacious, safe and the modality for sterilization of instruments, including heat labile instruments such as semi rigid, flexible and chip on the tip endoscopes and other EndoUrology armamentarium.
Databáze:	OpenAIRE
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